You Have a Right to Appeal Denials

What is a denial? A denial means Molina Healthcare is telling a provider and you that services or bills will not be paid. If we deny your service or claim, you have the right to know why your services or bills were denied. You have a right to appeal.

If your service or claim is denied, you will get a letter from Molina Healthcare telling you about this decision and why it was made. This letter will tell you about your appeal rights. You can read about these rights in your Member Handbook. You can find out how to file an appeal on our website, www.molinahealthcare.com.

If you are not happy with the decision of your appeal, you can ask for another review. This means that the person who makes decisions on your appeal did not take part in the initial review or decisionmaking. Call Member Services if you would like more information about the appeal process.